1. Home
  2. Directory
  3. Ohio
  4. Middletown
  5. Family Medicine
  6. NPI Profile

HEIDI REYNOLDS MD
NPI 1922417070
Family Medicine in Middletown, OH

Active since August 02, 2014PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005(513) 705-4754(513) 420-5156 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2020, Mar 22, 2017, Oct 1, 2016 (3 updates tracked since 2016).

About Heidi Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI REYNOLDS MD (NPI 1922417070) is an individual family medicine provider in Middletown, Ohio, licensed in Ohio (35.128755) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922417070
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEIDI REYNOLDSCredential: MD
Location Address1 MEDICAL CENTER DRMiddletown, OH 45005-2584
Mailing Address1 Medical Center DrMiddletown, OH 45005-2584 · (513) 705-4754 · Fax (513) 420-5156
Phone(513) 705-4754
Fax(513) 420-5156
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 2, 2014
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1922417070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35.128755✔ Licensed in OH · 57.023993
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 MEDICAL CENTER DR, Middletown, OH 45005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heidi Reynolds Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799063459
PECOS Enrollment IDI20161031002284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRA WRIGHT APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 705-4754
JOHN L LYMAN MD
Emergency Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 312-3656
CHALANA UMAYANGANEE GUNAWARDENA MD
Internal Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 705-4754
MVHE, INC
Hospitalist
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 705-5754
BRITTANY BEDWELL CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 974-2111
MIDDLETOWN ANESTHESIA CONSULTANTS INC
Anesthesiology
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111
ATRIUM MEDICAL CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111
ATRIUM MEDICAL CENTER
Rehabilitation Unit
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Reynolds's NPI number?

The NPI number for Heidi Reynolds is 1922417070. It was assigned to this individual provider in the NPPES registry on August 2, 2014.

Where is Heidi Reynolds located?

Heidi Reynolds practices at 1 Medical Center Dr, Middletown, OH 45005. The listed phone number is (513) 705-4754.

What is Heidi Reynolds's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heidi Reynolds enrolled in Medicare?

Yes. Heidi Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heidi Reynolds accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Heidi Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heidi Reynolds affiliated with any hospitals?

According to CMS data, Heidi Reynolds is affiliated with Atrium Medical Center, Bethesda North and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Reynolds was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.